Dental
Martin, Michele
Martin, Michele was paid $582.00 by Medicaid between Feb 2022 and Apr 2024, across 11 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 20% of everything it billed.
33Billing provider infoMARTIN, MICHELE
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
33aNPI1629038625assigned 03/24/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$582.00
24GClaims1,482
24DCodes billed11
24AFirst – last monthFeb 2022 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,553 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 407 | $258.00 | |
| 2023 | 898 | $266.00 | |
| 2024incomplete | 177 | $58.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 20% | 388 | 374 | $117.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 178 | 177 | $114.00 |
| D0140 | Limited oral evaluation - problem focused | 18% | 126 | 123 | $105.00 |
| D0210 | Intraoral - complete series of radiographic images | 10.0% | 25 | 25 | $58.00 |
| D1206 | Topical application of fluoride varnish | 9.8% | 321 | 316 | $57.00 |
| D1110 | Prophylaxis - adult | 8.1% | 42 | 42 | $47.00 |
| D0274 | Bitewings - four radiographic images | 5.0% | 44 | 43 | $29.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 48 | 48 | $28.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 227 | 198 | $27.00 |
| D4921 | 0% | 71 | 41 | $0.00 | |
| D0602 | 0% | 12 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.